title: [Comparison of ilioinguinal-iliohypogastric nerve block versus spinal anesthesia techniques for single sided inguinal herniorrhaphy].
abstract: OBJECTIVE
  The aim of the study is to compare the hemodynamic effects, postoperative analgesia, time to achieve discharge criteria, and patient-surgeon satisfaction of patients who are assigned for single sided inguinal hernia repair operated under iliohypogastric ilioingıinal nerve block (IHNB) or spinal anesthesia.
  
  
  METHODS
  Twenty-five ASA I-III patients in Group S received 15 mg 0.5% hyperbaric bupivacaine intrathecally, and 25 ASA I-III patients in Group I received IHNB with 20 mL 0.5% plain bupivacaine.
  
  
  RESULTS
  Mean block application duration (16.4±3 vs 6.5±2.1 min), mean sensory block rise time (25.2±5.1 vs 6.9±3.4 min), and time to sensory block termination (262.4±65.2 vs 116.6±102.5 min) was found to longer in Group I with respect to Group S (p<0.001). Mean time to first mobilization (307.1±146.9 vs 456.9±131.7 min), and mean time to meet discharge criteria (4.6±0.8 vs 8.1±2.7 hr) was shorter in group I. Mean VAS scores in postoperative 1, 2, 4 and 6 th and mean tramadole consumption in 24 hr (375.6±113.1 vs 180.5±17.9 mg) were higher in Group S (p<0.001). Hemodynamic parameters, patient and surgeon satisfaction were comparable (p>0.05).
  
  
  CONCLUSIONS
  IHNB provides longer postoperative analgesia and earliar discharge, although takes more time to perform and to produce maximum effect, for single sided inguinal henia repair.
authors.affiliation: Department of Anesthesiology and Reanimation, İmamoğlu State Hospital, Adana, Turkey. dr.grkn@hotmail.com.
authors.forename: Işik
authors.initials: I
authors.lastname: Gürkan
authors.forename: Gülten
authors.initials: G
authors.lastname: Utebey
authors.forename: Onur
authors.initials: O
authors.lastname: Özlü
mesh_terms: D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine